Vice President of National Payers

HI, I’M JAMES LAMB

I’m here to help you gain a comprehensive view of your provider data, enabling you to make strategic decisions about your network and achieve the best possible care for your members. 

BREAKING SILOS, LEVERAGE EFFICIENCIES AND REDUCING RISK

Seeking scalability and visibility across all of their networks, a new SVPs started putting a plan in motion that has led to greater compliance confidence, consistent reporting and faster speed to market. Learn what it takes to break down organizational silos and what you can expect to gain as the reward.

A PROVEN EXPERT

James is a distinguished expert in provider network management with a track record of leadership and success. With nearly a decade of experience as a strategic partner for prominent healthcare organizations, including the nation’s eight largest, he has played a pivotal role in enhancing network performance, ensuring regulatory compliance and advancing access to care across all lines of business. Committed to promoting equal access to healthcare, James devotes his time to serving on multiple Boards for non-profit organizations dedicated to improving the lives of individuals with special needs.

Four Things to Know: CMS MA Final Rule

The Four Phases of Implementing a Provider Data and Directory Verification Process

Provider Data Errors to Avoid When Responding to a Medicaid RFP

MHPA 2022 maybe over but the planning never stops. Let’s stay connect and continue the conversation about achieving your goals.

Upcoming Events

Join Quest Analytics® at Arcadia Aggregate 2025
Get ready for an exciting experience at Arcadia Aggregate 2025! From October 14-16 in Las Vegas. We’ll be showcasing some exciting new features and functionalities in Quest Enterprise Services™ that...
Join Quest Analytics® at HLTH USA 2025
We’re heading to HLTH USA 2025 from October 19 to 22, and we’re bringing some exciting updates with us. Chat with our team to explore the latest features in Quest...
Webinar: Insights to Transform Network Performance Through Affiliation Intelligence
Health plans are working to turn complex data into actionable insights—but one persistent challenge is understanding how providers and facilities are affiliated. Without clear visibility into these relationships, network design...
Webinar: Navigating the Latest Texas Network Adequacy Requirements and Regulatory Shifts in Network Strategy
Health plans operating in Texas are facing a new era of regulatory requirements. With the passage of House Bill 3359, the Texas Department of Insurance (TDI) has introduced some of...
Becker’s Webinar: Fix the data, then deploy the models: A practical guide to AI-driven network design
Provider network performance is now a competitive differentiator for health plans. Members expect choice and access, regulators expect adequacy and parity, and executives expect measurable ROI. The catch: artificial intelligence...
Join Quest Analytics® at TAHP Covered
Get ready for an exciting experience at the Texas Association of Health Plans at the Texas Covered Conference + Expo from November 3-5, 2025, in Austin, TX! We’ll be showcasing some...

Case Studies

Meeting Medicaid Network Adequacy With Advanced Network Management Solutions
This MCO faced unique challenges in efficiently assessing and ensuring network adequacy and provider data accuracy for its Medicaid program.
“Are We Compliant — or Not?”
They had no effective way to find their own adequacy gaps — but CMS and state regulators were finding plenty
Uniting an Enterprise
Struggling to meet the diverse adequacy requirements of CMS and states, the plan needed a smarter way to work.
National Vision Care Administrator Enhances Provider Network and Expands Health Plans with Quest Analytics®
Discover how a National Vision Care Administration achieved a 15+ Health Plan Expansion and a reliable provider data accuracy process with Quest Analytics®.
Working Smarter, Not Harder
The Sales team at a Top 10 National Payer needed to stand out from their competitors when responding to Employer Group Benefits RFPs. To do so, quickly generating network access...
A Tale of Two Networks
Having struggled to build a Medicaid network, they now faced the more complex requirements of Medicare — with only one shot to get it right.

SOLVE YOUR PROVIDER DIRECTORY ACCURACY CHALLENGES TODAY

Our team is ready to help you address the challenges provider data presents. We want to help you take your member experiences to the next level and avoid regulatory risks, like audits, and meet the mandates around surprise billing.

Contact us today to book a strategy session to understand and provide guidance to limit your exposure.

Start a Conversation Today!